Form 1040xn - Amended Nebraska Individual Income Tax Return - 2014
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Amended Nebraska Individual Income Tax Return
FORM 1040XN
2014
Taxable Year of Original Return
beginning _________________, ______and ending ____________________ , ______
Your First Name and Initial
Last Name
PLEASE DO NOT WRITE IN THIS SPACE
If a Joint Return, Spouse’s First Name and Initial
Last Name
Current Mailing Address (Number and Street or PO Box)
City
State
Zip Code
Your Social Security Number
Spouse’s Social Security Number
(1)
Farmer/Rancher
(3)
Deceased Taxpayers (First Names and Dates of Death)
(2)
Active Military
Are you filing this amended return because:
Are you filing for a refund based on:
a . The Nebraska Department of Revenue has
YES
NO
a . The filing of a federal amended return or claim for refund?
YES
NO
notified you that your return will be audited?
Attach copies of Federal Form 1045 or 1040X and supporting schedules .
b . The Internal Revenue Service has corrected
YES
NO
b . Carryback of a net operating loss or IRC § 1256 loss?
YES
NO
your federal return?
If Yes, year of loss:
Amount: $
If Yes, identify office:
Attach copies of Federal Form 1045 or 1040X with supporting schedules, and a completed
Attach a copy of changes from the Internal Revenue Service .
Nebraska NOL Worksheet .
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CHECK IF (on federal return):
Original Amended
TYPE OF RETURN FILED
FEDERAL FILING STATUS (check only one for each return):
Original
Amended
(check only one for each return):
(1) You were 65 or over
Original
Amended
(1) Single
(2) You were blind
(1) Resident
(2) Married, filing jointly
(2) Partial-year
(3) Spouse was 65 or over
(3) Married, filing separately
resident
(4) Spouse was blind
Spouse’s SSN:
from _______ / _______ / ______
(5) You or your spouse can be claimed
(4) Head of household
to _________ / _______ / ______
as a dependent on another
person’s return
(3) Nonresident
(5) Widow(er) with dependent child(ren)
4 Federal exemptions (correct number of exemptions claimed on your federal return) . . . . . . . . . . . . . . . . . . . . . 4
Computation of Tax
Correct Amount
5 Federal adjusted gross income (AGI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Nebraska standard deduction (see Form 1040N instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Total itemized deductions (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8 State and local income taxes included in line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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9 Nebraska itemized deductions (line 7 minus line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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10 Nebraska deduction (larger of line 6 or line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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11 Nebraska income before adjustments (line 5 minus line 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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12 Adjustments increasing federal AGI (line 48, Nebraska Schedule I, Form 1040XN) . . . . . . . . . . . . . . . . . . . . .
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13 Adjustments decreasing federal AGI (line 56, Nebraska Schedule I, Form 1040XN) . . . . . . . . . . . . . . . . . . . . .
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14 Nebraska Taxable Income (line 11 plus line 12 minus line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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15 Nebraska income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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16 Nebraska other tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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17 Total Nebraska tax before personal exemption credit (line 15 plus line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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COMPLETE PAGE 2.
revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729
8-742-2014
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